UNDERTAKING:

I declare that information provided is correct. I have read and understood the college prospectus and admission procedure.

I agree to abide by the rules and regulations of the college and its decision on selection of students.

I understand that all fees submitted are not to be refunded even if I withdraw admission after one day ofsubmitting fees.

Signature of Parents / Guardian..................................................

Signature of Applicant...................................

Date: ...........................

Name of student _________________________________________________

Father’s Name __________________________________________________

Guardian’s Name ________________________________________________

Father’s Occupation ___________________Designation:_________________

Office Address __________________________________________________

_______________Tel.___________________Cell. _____________________

Postal Address __________________________________________________

_______________Tel.___________________Cell. _____________________

Permanent Address ____________________________________________________________________

______________________________Tel.________________________Cell. _______________________

Date of Birth _________________________________ Place of Birth____________________________

Nationality ___________________________________E-Mail _________________________________

National Identity Card No. or Registration No.

Academic Record

Photograph

Seat Applied: Open Merit: Overseas / Foreign:

Qualifications

Matriculation(SSC)

Intermediate(HSC)

Others(Specify)

School/College/University YearFrom - To

Divisionor Grade

MarksObtained

Grade

MUHAMMAD MEDICAL COLLEGEM i r p u r k h a s - S i n d h

APPLICATION FOR ADMISSION

Session 2016 - 17

Bachelor of Medicine & Bachelor of Surgery (MBBS)

MUHAMMADMEDICALCOLLEGE

e

INSTRUCTIONS FOR COMPLETION OF THE APPLICATION FORM

1. The application form must be filled by applicant’s own handwriting in block letters.

2. Attested photocopies of the following documents must be submitted with the application.

a. Secondary School Certificate and Marks Sheet. b. Higher Secondary School Certificate and Marks Sheet.

3. Four recent passport size photographs with Applicant’s name on the back. One photograph should be pasted on the space provided in the Application Form and the other on the Admit Card.

4. Applicants passing F.Sc or equivalent from any board other than Mirpurkhas or Hyderabad will need to produce Migration Certificate after Admission.

5. Incomplete Applications shall not be considered.

FOR OFFICE USE ONLY

Matriculation (SSC)

Intermediate (HSC)

Admission Test

Interview

Others

Admission Result

Position in overall Merit List

Admission Approved

Admission Rejected

Dated: _______________Chairman

Admission Committee

Name of student

Father’s Name

National Identity Card No.

or Registration No.

TEST SCHEDULE (to be filled in by the office)

MUHAMMAD MEDICAL COLLEGEM i r p u r k h a s - S i n d h

ADMIT CARD

ADMISSION TEST - 2016-17

Application Form No.

Applicant’s Signature _____________________

Photograph

1. Admit Card is essential to appear in the test. No other identification will be allowed.

2. Result will be announced by Applicants Form No.

3. Please retain a Photocopy of Admit Card for future reference.

4. This will be an Objective Test and will have Questions on

(1) Biology (2) Physics (3) Chemistry (4) English and (5) General Knowledge

Notes:

Date ______________ Time ______________ Room No. _____________

Place _______________________________________________________Incharge Admission Test

Application Form No.

Name ______________________________________________________________________________

Address ____________________________________________________________________________

________________________________________________Telephone No. _______________________

CNIC No. ________________

MUHAMMADMEDICALCOLLEGE